Starfile / Pennsylvania

SILVER STREAM NURSING AND REHABILITATION CENTER

905 PENLLYN PIKE, SPRING HOUSE, PA 19477 · CCN 395354

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Inspection citations (52)

1. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-01 · Health · corrected 2025-08-01

   Potential for more than minimal harm

2. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-01 · Health · corrected 2025-04-24

   Potential for more than minimal harm

3. DF0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

5. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

6. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

7. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

9. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-12 · Health · corrected 2025-02-05

   Potential for more than minimal harm

10. DF0760Ensure that residents are free from significant medication errors.2024-12-12 · Health · corrected 2025-02-05

    Potential for more than minimal harm

11. DF0880Provide and implement an infection prevention and control program.2024-12-12 · Health · corrected 2025-02-05

    Potential for more than minimal harm

12. DF0881Implement a program that monitors antibiotic use.2024-12-12 · Health · corrected 2025-02-05

    Potential for more than minimal harm

13. FF0908Keep all essential equipment working safely.2024-12-12 · Health · corrected 2025-02-05

    Potential for more than minimal harm

14. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-12-12 · Health · corrected 2025-02-05

    Potential for more than minimal harm

15. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

16. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

17. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

18. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

19. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

20. DF0646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

21. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

22. DF0687Provide appropriate foot care.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

24. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

25. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

26. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

27. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

28. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

29. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

30. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

31. FF0814Dispose of garbage and refuse properly.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

32. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

33. EF0881Implement a program that monitors antibiotic use.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

34. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-02-27 · Health · corrected 2024-04-01

    Potential for more than minimal harm

35. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-25 · Health · corrected 2024-03-01

    Potential for more than minimal harm

36. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-25 · Health · corrected 2024-03-01

    Potential for more than minimal harm

37. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-10-31 · Health · corrected 2023-12-08

    Potential for more than minimal harm

38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

39. DF0576Ensure residents have reasonable access to and privacy in their use of communication methods.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

40. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

41. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

42. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

43. DF0699Provide care or services that was trauma informed and/or culturally competent.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

44. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

45. DF0791Provide or obtain dental services for each resident.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

46. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

47. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

48. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

49. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

50. EF0880Provide and implement an infection prevention and control program.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

51. DF0908Keep all essential equipment working safely.2023-05-04 · Health · corrected 2023-06-22

    Potential for more than minimal harm

52. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-03-20 · Health · corrected 2023-04-14

    Potential for more than minimal harm

Ownership

Other facilities in SPRING HOUSE

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.